Medicare Facts for Dr. Richard R. Clark, MD


National Provider Identifier [NPI]: 1023042470
Last Name Of The Provider CLARK
First Name Of The Provider RICHARD
Middle Initial Of The Provider R
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2408 4 MILE RD
Street Address 2 Of The Provider
City Of The Provider RACINE
Zip Code Of The Provider 534022091
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 21
Number Of Services 894
Number Of Medicare Beneficiaries 321
Total Submitted Charge Amount 152372
Total Medicare Allowed Amount 68667.64
Total Medicare Payment Amount 47561.24
Total Medicare Standardized Payment Amount 50337.32
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 34
Number Of Beneficiaries Age 65 to 74 132
Number Of Beneficiaries Age 75 to 84 104
Number Of Beneficiaries Age Greater 84 51
Number Of Female Beneficiaries 154
Number Of Male Beneficiaries 167
Number Of Non Hispanic White Beneficiaries 293
Number Of Black or African American Beneficiaries 12
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 295
Number Of Beneficiaries With Medicare Medicaid Entitlement 26
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 12
Percent Of With Cancer 15
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 25
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 14
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.28

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